| NPI | 1710240866 |
|---|---|
| Former Name | JACQUELINE CHRISTINE HACKBARTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: IA 000744) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: IA 001057) |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2016-12-06 |